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NPI Profile for CUSTOM DENTAL OF EDMOND PLLC in OKLAHOMA CITY, OK.
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X |
| NPI # | 1013211846 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/10/2011 | |
| Last updated | 09/15/2011 - About 15 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CUSTOM DENTAL OF EDMOND, PLLC
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CUSTOM DENTAL OF EDMOND, PLLC